Individual
BRIAN DAVID COON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2101 NAGLE RD, ERIE, PA 16510-2131
(814) 877-7078
(814) 899-5484
Mailing address
717 STATE ST, SUITE 16, LL, ERIE, PA 16501-1341
(814) 480-7100
(814) 480-7604
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT007026L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015328390004
—
PA
01
—
1616794
AETNA
PA
01
—
762502
BLUE SHIELD
PA
Enumeration date
03/30/2007
Last updated
05/06/2008
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